Tag: aquamid

It would be easy to assume that the changes to Sophie Monk’s face over the years were the result of surgical intervention. According to Beverly Hills plastic surgeon Dr. Randal Haworth, she has not actually gone under the knife. ‘It is human nature for people to jump to conclusions when a celebrity has even the slightest change in appearance. Suspicions and speculations about plastic surgery run wild and I believe Sophie Monk is among the accused!’ the CEO of DrHaworth.com told Daily Mail Australia on Tuesday.

Dr. Haworth stated: ‘Though critics have insisted she had a rhinoplasty or brow lift, I believe she may not have had actual surgery at all. Instead, I sense she took full advantage of some non-surgical cosmetic options. For example, the fact that her forehead is smooth and devoid of normal wrinkles while her outside eyebrows are now higher indicates she was treated with Botox. When applied selectively, Botox not only minimizes wrinkles but can also lift certain facial features such as the eyebrow and the corner of the lips.’ He also turned his attention to Sophie’s plump lips, absence of hollowing under her eyes and prominent cheeks – all signs of non-surgical intervention.

Sophie, who hails from Queensland’s Gold Coast, has admitted to having filler to her top lip in the past, following the botched removal of a cyst. ‘Half of my lip was removed with the cyst, and I was advised to get filler in my top lip to help balance it out,’ she told Who magazine in early 2011.

Many social media influencers enlist the help of photo editing apps to sharpen up their picture-perfect public image. Beverly Hills plastic surgeon Dr. Randal Haworth believes that Tammy Hembrow may also rely on cosmetic procedures. According to Dr. Haworth, she may have undergone a nose job, liposuction and dermal fillers to achieve her bombshell look. ‘Miss Hembrow is the quintessential Instagram model for our social media world where fake is the new real,’ Dr. Haworth said.

The celebrity plastic surgeon went on to claim that she strikingly different in recent photos compared to images of her taken several years ago. ‘Based on what I presume to be filtered photos, she has undergone a striking transformation of not only her facial features but also of her facial shape,’ Dr. Haworth claimed. ‘Her jawline is more defined into a “V-line”. I would even venture to say her chin has been shortened and narrowed compared to her teenage years.’ says Dr. Haworth.

According to Dr. Haworth, Tammy Hembrow’s lips have also almost certainly been enhanced due to their ‘overly plumped’ appearance. He claimed: ‘Like Kylie Jenner, Tammy has been originally inspired by the Angelina Jolie lip variety. Paradoxically, lips oversized for a face can mature the visage beyond its years.’ His claims come after Tammy was stretchered out of Kylie Jenner’s 21st birthday party at celebrity hotspot Delilah in West Hollywood last Thursday night.

The Born To Try singer, Delta Goodrem, may have invested in some cosmetic tweaks over the years. Dr. Haworth told Daily Mail Australia on Monday he has a ‘strong hunch’ that Delta may have undergone a rhinoplasty, and may have also had filler injected into her cheeks and lips. The Beverly Hills plastic surgeon believes the tip of her nose is likely evidence that she has had cosmetic surgery.

Dr. Haworth claimed: ‘Certain angles maybe more revealing than others, but I have a strong hunch she had undergone a rhinoplasty or nose job in the past because the shape of her tip is more demarcated from the rest of her nose while her bridge is noticeably narrowed.’ He also believes she may have indulged in some other non-surgical cosmetic procedures. ‘I find it apparent that both her cheekbones and her lips have been enhanced with a temporary filler, most likely of a hyaluronic acid variety such as Juvéderm or Restylane’ he told Daily Mail Australia.

Catriona Rowntree, who looks like she has hardly aged since starting her TV career in her twenties, has never confirmed or denied having Botox or fillers. Dr. Haworth told Daily Mail Australia: ‘It is only on close inspection that clues arise as to what she may have done to keep her appearance polished.’ The former Getaway host Catriona Rowntree has been a fixture on Australian television for more than two decades. Haworth has offered his expert opinion on how she has maintained her youthful complexion over the years.

According to Beverly Hills plastic surgeon Dr. Randal Haworth, there are tell-tale signs that suggest she has had ‘subtle’ procedures to her face. ‘Over the years, Catriona is, what I call, a perennial beauty. Starting off as a radiantly attractive woman, any aesthetic procedures she receives must be subtle and “under the radar”, so to speak,’ he explained. ‘It seems that she hasn’t aged one iota since the 1990s,’ Dr. Haworth added.

Injection techniques to place filler into the face to correct lines, folds and wrinkles have became even more advanced with the use of blunt tip cannulae, such as Dermasculpt.
These are similar to needles except that they are not sharp and therefore are less prone to cut the tiny diameter blood vessels in and below the skin.

What does this mean for the patient?

-Markedly less bruising

-Generally significant less discomfort

-Greater safety profile

I don’t employ them to treat all areas of the face, since certain anatomical facial features require extremely precise placement of filler not afforded by blunt tip cannulae. They are ideal to inject larger areas which require generalized plumping or filling such as the temples, cheek hollows, brows and jawline.

I have injected most types of filler through them including Juvederm, Restylane, Belotero, Artefill, Aquamid and Radiesse.

Be prepared to hear some minor crackling noise, however, for the first minute or so similar to lettuce being cut!

Over the last 3 to 4 years I, as a primary and revision rhinoplasty specialist, have noticed an increasing and disturbing trend being practiced amongst those facial and classic plastic surgeons in my immediate community of Beverly Hills and other cities. This trend revolves around the use of rib grafts for not only revision but also primary rhinoplasty (!) (or in common parlance, nose job).

A good number of rhinoplasties require cartilage in order to achieve exemplary results. Cartilage is used to either build a bridge, fill depressions, augment or support the nasal tip. It is mainly harvested from the septum (that partition that exists in the midline of the nose which separates the left and right nostril) or the ear. Though I am fully trained general surgeon and am comfortable operating in and around the lungs and heart, I rarely employ rid graft as a source of cartilage. For most, it is generally a last resort when absolutely no other cartilage source is available. Admittedly, rib provides a strong support and is generally in plentiful supply. However, a number of downsides arise when rib is harvested: a permanent visible scar is created below the breast. Additionally, significant pain can arise from the harvesting as well as a small chance of creating a pneumothorax (or a collapsed lung) . Finally, rib can be notorious for warping thereby creating a nose that is crooked.
Despite these drawbacks, I will use rib when there is a collapsed nasal septum (or dorsum creating a saddle nose deformity) or when plentiful cartilage is needed while other sources are exhausted.

See the accompanying photos.

A Collapsed Nasal Bridge or Saddle-Nose Deformity

After a Revision Rhinoplasty Utilizing Rib Graft

A Severe Saddle-nose Deformity after Infection

After Rib Graft Reconstruction

I always use cartilage to highlight and augment the nasal tip, however, when there is not enough cartilage present and I only need to build the bridge by a small amount, I do not hesitate to employ some artificial material such as Goretex®. I utilize this only when the chance of infection is remote. When patients are properly selected for utilizing Goretex®, the chance of infection extremely minimal in my experience. Unfortunately, the surgeons who habitually use rib grafts will scare the bejesus out of their patients into choosing the rib graft method by overstating the chance of infection and poor outcome if Goretex® is used.

So if I am writing that rib grafts are over utilized, then why do the rib graft cartel tell their patients otherwise?

I feel it is simply a matter of finance. When a rib graft is harvested, the surgeon can charge a lot more for both his services and the operating room, especially if insurance is billed. Most patients will not question their surgeon’s motivated choices and indeed, feel that they have no choice at all, believing that the rib-graft-mafia method is their only solution.

What is especially unsettling is that these doctors who are members of the rib graft cartel are now utilizing rib grafts for primary rhinoplasties (first time nose jobs). This is very puzzling because there is plenty of prime cartilage graft material available from the septum and ear and there is little to no reason to subject the patient to a rib surgery.

All I can say is that this is a dangerous trend which introduces unnecessary risk and morbidity to the operation.

A good patient is an educated patient and the purpose of my blog is to merely propagate information in the most objective way possible so that patients can make their own decisions as sentient adults. To learn more about primary and revision rhinoplasty , you can click here.

This lesser known anatomic point of the nose is often purposely overlooked by rhinoplasty specialist surgeons because of the challenges it poses to those attempting to alter it. It is represented by the angle formed by the uppermost portion of the nose as it blends into the forehead proper. Yes, altering this area does have a subtle, yet profound influence upon the final appearance of a nose job- it can differentiate an excellent result from a “so-so” one. The surgeon can raise the radix so that the nose blends into the forehead at a higher latitude as well as softly elevate the natural valley that can exist at this are if it is too deep. Furthermore, one can deepen the radix if too much bone is present between the eyeball and the bridge on profile view.

The ideal position of the radix lies approximately at the latitude of the upper eyelash/upper eyelid crease. Beverly Hills plastic surgeon, Dr Randal Haworth can raise it by placing a precisely shaped softened cartilage graft (usually harvested from the nasal septum or ear) with beveled edges onto the bone of the radix area. Alternatively the radix or nasion can be rasped or chiseled with specialized delicate instruments to a lower, deeper position.

Why does raising a radix from a low position improve the final appearance of a nose? Well, imagine two noses which are identical in shape and forward projection except that one has a low radix while the other has a high one. The one with the low radix is shorter compared to the one with the high. Now imagine two men, both with the same 34 inch waist, but one is short while the other tall. Who appears fatter? The short person does, of course. This same optical illusion applies to the nose with a low radix-it appears as it projects further out from the face as compared with the one with the higher radix and not necessarily in an attractive way.

The following photos represent a beautiful result of a corner lip lift and concomitant rhinoplasty in which the radix was raised.

Note where her radix point lies. It is lower than the level of her eyelash, making the nose look more projecting than it really is.

The result after a corner lip lift and a rhinoplasty with Radix enhancement.

Work here results in some extra swelling localized to the space between the eyebrows in the sense that it lasts a few days longer. Dr Haworth at the Haworth Institute has a few tricks up his sleeve to accelerate the resolution of the nasal swelling by injecting a dilute mix of Kenalog under the skin (and it is relatively painless) two weeks out. This “turbocharges” the swelling to go away!
Of course, the radix can also be augmented with a filler of some sort, such as fat, Radiesse, Juvederm, Aquamid and Artefill.